Color Doppler ultrasound for surveillance following EVAR as the primary tool
| Autor: | Rıza S. Okten, Mehmet Karahan, Mehmet Özbek, Boğaçhan Akkaya, Hakkı Zafer İşcan, İsa Civelek, Ertekin Utku Ünal, Mustafa Dağlı |
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| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Diameter measurement Endoleak medicine.medical_treatment 030204 cardiovascular system & hematology Endovascular aneurysm repair Aortography 03 medical and health sciences Blood Vessel Prosthesis Implantation 0302 clinical medicine Aneurysm Predictive Value of Tests Positive predicative value medicine Humans cardiovascular diseases Ultrasonography Doppler Color Retrospective Studies business.industry Endovascular Procedures Color doppler ultrasound medicine.disease Abdominal aortic aneurysm Cost savings Treatment Outcome 030228 respiratory system Surgery Radiology Cardiology and Cardiovascular Medicine Complication business Aortic Aneurysm Abdominal |
| Zdroj: | Journal of cardiac surgeryREFERENCES. 36(1) |
| ISSN: | 1540-8191 |
| Popis: | OBJECTIVE As aneurysm-related events and rupture is not eliminated, postoperative lifelong surveillance is mandatory after endovascular aneurysm repair (EVAR). For surveillance colored Doppler ultrasound (CDUS) is a standard method of noninvasive evaluation having the advantages of availability, cost-effectiveness, and lack of nephrotoxicity and radiation. We evaluated CDUS for primary surveillance tool after elective EVAR by comparing with computerized tomography. METHODS Between January 2018 and March 2020, 84 consecutive post-EVAR patients were evaluated. First, CDUS was performed by two Doppler operators from the Radiology Department and then computed tomographic angiography (CTA) was performed. The operators were blind to CTA reports. A reporting protocol was organized for endoleak detection and largest aneurysm diameter. RESULTS Among 84 patients, there were 11 detected endoleaks (13.1%) with CTA and seven of them was detected with CDUS (r = .884, p |
| Databáze: | OpenAIRE |
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